National Provider Identifier Database

VAIDYA UROLOGY CLINIC INC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

VAIDYA UROLOGY CLINIC INC
2520 VALLEY DRIVE
SUITE 016
POINT PLEASANT, WV25550
Phone: 304-675-6060
Fax: 304-675-5001
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for VAIDYA UROLOGY CLINIC INC

NPI Number 1669653796
Legal business name
LBN
VAIDYA UROLOGY CLINIC INC
Authorized official BRENDA LONG - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/16/2007
Last updated 06/27/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 13842
  • OH Medicaid: 0544987
  • WV Medicaid: 0131036000
  • WV Other: 001707383 MOUNTAIN STATE BCBS
  • WV Other: 340018637 TRAVELERS MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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